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Director of Network COGS Strategy

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:

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Contract Type:
Not provided

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Salary:

100000.00 - 231540.00 USD / Year

Job Description:

As a Director of Network COGS Strategy, you will support critical PBM initiatives aimed at developing Network contracts that best meet regulatory, plan sponsor and member needs. In this high visibility leadership role, you will be responsible for supporting the Network Contract team, handle complex analyses on network improvements, drive executional excellence in managing UW COGS assumptions, and manage a team of 3 analysts. You will work closely with senior executives and business partners at all levels of the organization to help formulate solutions and present recommendations.

Job Responsibility:

  • Support development and expansion of provider networks by evaluating potential providers and their contract terms
  • Contribute to optimizing the network's performance and effectiveness by analyzing network data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care
  • Monitor the performance of network providers including tracking key performance indicators
  • Conduct market analysis, assess competitive landscapes, and make recommendations for network expansion strategies
  • Communicate findings to executive leadership and stakeholders
  • Manage operational aspects of the team, subsequently implementing workforce and succession plans to meet business goals and objectives

Requirements:

  • At least 10 years of experience within healthcare or related industries
  • Minimum 5 years contracting, PBM Network negotiation, PBM pricing or consulting experience
  • 2 years or more of people leadership experience
  • Bachelor's degree from an accredited college is required

Nice to have:

  • MBA or relevant Master's degree
  • Demonstrated ability to influence and drive change in a complex business environment
  • Understanding of pharmacy provider contracting and PBM Underwriting
  • Competent in Excel and other data analytics tools
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
February 25, 2026

Expiration:
March 31, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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